Organization Active NPI

Choice Chiropractic & Acupuncture, P.L.L.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1164616512
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHOICE CHIROPRACTIC & ACUPUNCTURE, P.L.L.C.
Practice address
8805 N 145TH East Ave
Ste. 103
Owasso, OK 74055-8529
Phone
(918) 274-9299
Fax
(918) 274-9220
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Heather Van WyheNPI 1992814669
Title
Owner
Phone
(918) 274-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

8805 N 145TH East Ave
Ste. 103
Owasso, OK 74055-8529

Mailing address

8805 N 145TH East Ave
Ste. 103
Owasso, OK 74055-8529
Phone (918) 274-9299

Other identifiers 1

IdentifierTypeStateIssuer
503807236001OtherOKBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621000403 OK Part B Supplier - Clinic/Group Practice 9234174228 Receives reassigned benefits from 1 practitioner
Practice locations: Owasso, OK

National Provider Directory

National Provider Directory

Locations

8805 N 145th East Ave
Ste 103
Owasso, OK 74055
Phone (918) 274-9299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1164616512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N 145TH EAST AVE",
            "address_2": "STE. 103",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558529",
            "telephone_number": "918-274-9299",
            "fax_number": "918-274-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N 145TH EAST AVE",
            "address_2": "STE. 103",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558529",
            "telephone_number": "918-274-9299",
            "fax_number": "918-274-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CHIROPRACTIC & ACUPUNCTURE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "VAN WYHE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-274-9299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "503807236001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.